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Trichomoniasis

By

The Manual's Editorial Staff

Reviewed/Revised Apr 2023
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What is trichomoniasis?

  • The most common cause is having sex with an infected partner

  • Infected women may have pain when urinating (peeing) and a lot of green or yellow liquid that comes out of the vagina (vaginal discharge)

  • Men usually have no symptoms or have mild pain when urinating and frothy discharge from the penis

  • Doctors treat trichomoniasis with antibiotics

  • To help prevent this infection, use a condom when having sex

What causes trichomoniasis?

You get trichomonas by having sex with a partner who has trichomoniasis. Your partner may not have any symptoms of trichomoniasis but can still give you the infection.

What are the symptoms of trichomoniasis?

Women

Urinary and vaginal symptoms may occur alone or together.

  • Vaginal discharge that may be green or yellow in color, thin, look bubbly or foamy, smell fishy, and happen in large amounts

  • Itching, redness, or pain around the opening to your vagina

  • Pain or burning when you urinate

  • Feeling like you need to urinate more often

Men

Most men have no symptoms or only mild symptoms. Even if you don't have symptoms, you can still spread the infection to your partner. If you do have symptoms, you might have:

  • Frothy discharge from your penis

  • Pain or burning when you urinate

  • Feeling like you need to urinate more than usual

How can doctors tell if I have trichomoniasis?

Women

Your doctor will look in your vagina using a plastic speculum and take a sample of the discharge with a cotton swab. Usually your doctor will look at the sample under a microscope. Rarely your doctor will send the sample to a laboratory for testing.

Men

Your doctor usually suspects trichomoniasis when your female sex partner was diagnosed with it. In that case, your doctor will often just give you treatment without doing any tests.

To test you for trichomoniasis, your doctor will put a small cotton swab in your penis to get a sample. Your doctor will send the sample to a laboratory for testing.

How do doctors treat trichomoniasis?

  • Doctors will give you an antibiotic (such as metronidazole or tinidazole) to take by mouth—women often only need one dose, but men may need to take the antibiotic for 5 to 7 days

  • You should not drink alcohol for at least 72 hours after you take the antibiotic—it can make you feel sick, vomit, and have a headache

  • Doctors will tell you not to have sex until your infection has gone away

Your sex partners should be checked by a doctor, who will prescribe the same antibiotic to them.

NOTE: This is the Consumer Version. DOCTORS: VIEW PROFESSIONAL VERSION
VIEW PROFESSIONAL VERSION
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